<form action="/{$module}/{$controller}/{$action}" class="horizontal-form" name="Usuarios" method="post">
    <div class="form-body">
        <div class="row">
            <div class="col-md-6">
                <div class="form-group">
                    <label class="control-label">Nome Completo</label>
                    <input type="text" id="nome" name="name" class="form-control" placeholder="">
                </div>
            </div>
            <!--/span-->
            <div class="col-md-6">
                <div class="form-group">
                    <label class="control-label">Nome de Usuário</label>
                    <input type="text" id="login" name="login" class="form-control to-lowercase" placeholder="">
                </div>
            </div>
            <!--/span-->
        </div>
        <!--/row-->
        <div class="row">
            <div class="col-md-6">
                <div class="form-group">
                    <label class="control-label">Senha</label>
                    <input type="password" id="senha" name="senha" class="form-control no-uppercase" placeholder="">
                </div>
            </div>
            <div class="col-md-6">
                <div class="form-group">
                    <label class="control-label">Confirme a Senha</label>
                    <input type="password" id="senha" name="confirme_senha" class="form-control no-uppercase" placeholder="">
                </div>
            </div>
        </div>
        <!--/row-->
        <div class="row">
            <!--/span-->
            <div class="col-md-6">
                <div class="form-group">
                    <label class="control-label">&nbsp;</label>
                    <div class="checkbox-list">
                        <label class="checkbox-inline">
                            <input type="checkbox" name="status" id="optionsRadios1" value="1" checked> Status </label>
                    </div>
                </div>
            </div>
            <!--/span-->
        </div>
        <!--/row-->
    </div>
    <div class="form-actions right">
        <button type="button" class="btn btn-default">Cancela</button>
        <button type="submit" class="btn btn-info"><i class="fa fa-check"></i> Salvar</button>
    </div>
</form>